Goals - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Goals	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands & contributes to development of strategic goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Establishes and documents goals and objectives.
Achieves established goals.
Achieves goals.
Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates a sense of responsibility and commitment to public trust.
Takes ownership, delivers on commitments
Builds and maintains the trust of others.
Works in a way that makes others want to work with her/him.
Communicates an understanding of the other person's interests, needs and concerns.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks opportunities to meet with others.
Exchanges innovative ideas with others in the network.
Manages effective partnerships between public, private, and non-profit sectors.
Forms collaborative relationships with others.
Promotes the understanding of how the department affects the organization overall.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Has an understanding of various asset classes and how to interpret balance sheets.
Understands cash flow procedures and statements.
Understands the costs, profits, markets, and added value of issues.
Can effectively interpret and analyze data.
Views problems from a business perspective, opportunity, investment, risks, and anticipated results
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Exhibits determination and passion in completion of goals.
Maintains a high level of energy to respond to demands of the job.
Can work effectively in an environment of uncertainty.
Understands the processes and various stages of business development.
Balances risks and rewards when making decisions.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Charts a bold course for the department's evolution.
Creates a crystal-clear vision for where the department needs to be in the next 12 months.
Inspires employees to support the departmental vision.
Is skilled at recognizing various issues that arise and formulates practical and strategic solutions to resolve them efficiently.
Defines an ideal image for what the department should look like in the future.

31. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
32. Strengths
    
    
    
33. Areas for Development
    
    
    
34. Please give any final comments or suggestions for [Participant Name Here]'s assessment.